Research Article
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Evaluation of Third Hand Cigarette Smoke Exposure and Awareness in University Students

Year 2023, Volume: 14 Issue: 4 - Cumhuriyet'in 100. Yılına Armağan Sayısı, 610 - 620, 01.10.2023
https://doi.org/10.31067/acusaglik.1258877

Abstract

ABSTRACT
Background:Third Hand Smoke (THS) is tobacco dust that settles in the environment after smoking. It combines with other pollutants in the air and diffuses back into the air. It can enter the systemic circulation by inhalation, absorption through the skin, and ingestion of tobacco dust-contaminated objects. It cannot be completely eliminated by ventilating and cleaning the environment. Exposure to THS negatively affects the health of all people, especially infants and children. The aim of the study is to reveal THS exposure and awareness in 6th grade students of Ankara Yıldırım Beyazıt University Faculty of Medicine and the factors associated with it.
Methods and Results: As a data collection tool, a questionnaire consisting of a Beliefs About Third Hand Smoke (BATHS-T) Scale was prepared to recognize sociodemographic data form, smoking status, tobacco control policies, smoking bans at home and in the car, attitudes towards buying / renting a house / car, and THS awareness. Using an online survey, 322 people were reached.
Conclusions: The mean BATHS-T (total) score of the participants was 37±8.0. Female gender, living with family, having good or higher academic achievement, not smoking, supporting anti-tobacco policies, not living with a smoker were associated with higher BATHS-T score. There was no statistically significant difference between the smoking ban at home and in the car and the BATHS-T score. In this respect, the study reached different results from the existing literature.
Further studies is needed to elucidate this difference.

References

  • Matt GE, Quintana PJE, Destaillats H, Gundel LA, Sleiman M, Singer BC, et al. Thirdhand tobacco smoke: Emerging evidence and arguments for a multidisciplinary research agenda. Vol. 119, Environmental Health Perspectives. 2011. p. 1218–26.
  • Sleiman M, Gundel LA, Pankow JF, Iii PJ, Singer BC, Destaillats H. Formation of carcinogens indoors by surface-mediated reactions of nicotine with nitrous acid, leading to potential thirdhand smoke hazards. Available from: www.pnas.org/cgi/doi/10.1073/pnas.0912820107
  • Matt GE, Quintana PJE, Zakarian JM, Fortmann AL, Chatfield DA, Hoh E, et al. When smokers move out and non-smokers move in: residential thirdhand smoke pollution and exposure. Available from: http://tobaccocontrol.bmj.com/
  • Odacı N. Ebeveynlerin üçüncü el sigara dumanına yönelik inançlarının belirlenmesi. Gazi Üniversitesi; 2020.
  • Orkun M. Aile Hekimliği Poliklniği Ve Tütün Bağımlılığı Tedavi Polikliniğine Başvuran Hastaların Üçüncü El Sigara Dumanı Hakkında Bilgi, Tutum Ve Davranışı (Tıpta Uzmanlık Tezi). 2021.
  • Kıvanç Terzi N. Aile hekimlerinin üçüncü el sigara dumanı hakkındaki inanış ve tutumlarının değerlendirilmesi. Harran Üniversitesi; 2021.
  • Matt GE, Quintana PJE, Zakarian JM, Fortmann AL, Chatfield DA, Hoh E, et al. When smokers move out and non-smokers move in: residential thirdhand smoke pollution and exposure. Tob Control. 2011;20(1):e1–e1.
  • González NR. Thirdhand Smoke : A Ubiquitous Hidden Threat in Pandemic Times Humo de tercera mano : una amenaza oculta ubicua en tiempos de pandemia. Arch Bronconeumol. 2021;57:569–70.
  • Ferrante G, Simoni M, Cibella F, Ferrara F, Liotta G, Malizia V, et al. Third-hand smoke exposure and health hazards in children. Monaldi Arch Chest Dis [Internet]. 2015 Nov 26 [cited 2021 Mar 31];79(1):38–43. Available from: http://www.monaldi-archives.org/index.php/macd/article/view/108
  • Moritsugu KP. The 2006 Report of the Surgeon General. The Health Consequences of Involuntary Exposure to Tobacco Smoke. Am J Prev Med. 2007;32(6):542–3.
  • Baheiraei A, Shirazi MG, Dehkordi ZR, Foroushani AR, Nedjat S. Prevalence of Home Smoking Bans and its Determinants in Families with Infants. Int J Pediatr. 2018;6(1):6987–97.
  • Drehmer JE, Ossip DJ, Rigotti NA, Nabi E, Woo H, Wasserman RC, et al. Pediatrician Interventions and Thirdhand Smoke Beliefs of Parents. Am J Prev Med. 2012;43(5):533–6.
  • Quintana PJE, Matt GE, Chatfield D, Zakarian JM, Fortmann AL, Hoh E. Wipe Sampling for Nicotine as a Marker of Thirdhand Tobacco Smoke Contamination on Surfaces in Homes, Cars, and Hotels. Nicotine Tob Res [Internet]. 2013 Sep 1 [cited 2022 Dec 12];15(9):1555–63. Available from: https://academic.oup.com/ntr/article/15/9/1555/1413792
  • Haardörfer R, Berg CJ, Escoffery C, Bundy ŁT, Hovell M, Kegler MC. Development of a scale assessing Beliefs about ThirdHand Smoke (BATHS). Tob Induc Dis. 2017 Jan 17;15(1).
  • Turhan E, Babaoğlu A, Tozduman B. Validity and reliability study of the Turkish version of beliefs about third hand smoke (BATHS) scale. Tob Induc Dis. 2018 Oct 3;16(3).
  • Xie Z, Chen M, Fu Z, He Y, Tian Y, Zhang X, et al. Thirdhand smoke beliefs and behaviors among families of primary school children in Shanghai. 2021; Available from: https://doi.org/10.18332/tid/132289
  • Darlow SD, Heckman CJ, Munshi T, Collins B. Thirdhand Smoke Beliefs and Behaviors among Healthcare Professionals.
  • Sorensen G, Allen JD, Adamkiewicz G, Yang M, Tamers SL, Stoddard AM. Intention to Quit Smoking and Concerns about Household Environmental Risks: Findings from the Health in Common Study in Low-Income Housing. Cancer Causes Control [Internet]. 2013 Apr [cited 2022 Jul 3];24(4):805. Available from: /pmc/articles/PMC3602321/
  • Costello MJ, Logel C, Fong GT, Zanna MP, McDonald PW. Perceived Risk and Quitting Behaviors: Results From the ITC 4-Country Survey. Am J Health Behav [Internet]. 2012 Sep [cited 2022 Jul 3];36(5):681. Available from: /pmc/articles/PMC4009356/
  • Pempeci S, Aknar B, Alkan A. Tıp Fakultesi Ogrencilerinin Sigara Icme Konusundaki Tutumlari. Gazi Med J. 2021;32(4A):619–24.
  • Tezcan S, Yardim N. Türkiye ’ de Çeşitli Sağlık Kurumlarında Doktor , Hemşire ve Tıp Fakültesi Öğrencilerinin Sigara İçme Boyutu. Tüberküloz ve Toraks Derg. 2003;51(4):390–7.
  • Roberts C, Wagler G, Carr MM. Environmental Tobacco Smoke: Public Perception of Risks of Exposing Children to Second- and Third-Hand Tobacco Smoke. J Pediatr Heal Care [Internet]. 2017;31(1):e7–13. Available from: http://dx.doi.org/10.1016/j.pedhc.2016.08.008
  • Díez-Izquierdo A, Cassanello P, Cartanyà A, Matilla-Santander N, Santamaria AB, Martinez-Sanchez JM. Knowledge and attitudes toward thirdhand smoke among parents with children under 3 years in Spain. Available from: https://doi.org/10.1038/s41390-018-0153-2
  • Winickoff JP, Friebely J, Tanski SE, Sherrod C, Matt GE, Hovell MF, et al. Beliefs About the Health Effects of “Thirdhand” Smoke and Home Smoking Bans. Pediatrics. 2009;123(1):74–9.
  • Drehmer JE, Ossip DJ, Nabi-Burza E, Rigotti NA, Hipple B, Woo H, et al. Thirdhand smoke beliefs of parents. Pediatrics. 2014;133(4).
Year 2023, Volume: 14 Issue: 4 - Cumhuriyet'in 100. Yılına Armağan Sayısı, 610 - 620, 01.10.2023
https://doi.org/10.31067/acusaglik.1258877

Abstract

References

  • Matt GE, Quintana PJE, Destaillats H, Gundel LA, Sleiman M, Singer BC, et al. Thirdhand tobacco smoke: Emerging evidence and arguments for a multidisciplinary research agenda. Vol. 119, Environmental Health Perspectives. 2011. p. 1218–26.
  • Sleiman M, Gundel LA, Pankow JF, Iii PJ, Singer BC, Destaillats H. Formation of carcinogens indoors by surface-mediated reactions of nicotine with nitrous acid, leading to potential thirdhand smoke hazards. Available from: www.pnas.org/cgi/doi/10.1073/pnas.0912820107
  • Matt GE, Quintana PJE, Zakarian JM, Fortmann AL, Chatfield DA, Hoh E, et al. When smokers move out and non-smokers move in: residential thirdhand smoke pollution and exposure. Available from: http://tobaccocontrol.bmj.com/
  • Odacı N. Ebeveynlerin üçüncü el sigara dumanına yönelik inançlarının belirlenmesi. Gazi Üniversitesi; 2020.
  • Orkun M. Aile Hekimliği Poliklniği Ve Tütün Bağımlılığı Tedavi Polikliniğine Başvuran Hastaların Üçüncü El Sigara Dumanı Hakkında Bilgi, Tutum Ve Davranışı (Tıpta Uzmanlık Tezi). 2021.
  • Kıvanç Terzi N. Aile hekimlerinin üçüncü el sigara dumanı hakkındaki inanış ve tutumlarının değerlendirilmesi. Harran Üniversitesi; 2021.
  • Matt GE, Quintana PJE, Zakarian JM, Fortmann AL, Chatfield DA, Hoh E, et al. When smokers move out and non-smokers move in: residential thirdhand smoke pollution and exposure. Tob Control. 2011;20(1):e1–e1.
  • González NR. Thirdhand Smoke : A Ubiquitous Hidden Threat in Pandemic Times Humo de tercera mano : una amenaza oculta ubicua en tiempos de pandemia. Arch Bronconeumol. 2021;57:569–70.
  • Ferrante G, Simoni M, Cibella F, Ferrara F, Liotta G, Malizia V, et al. Third-hand smoke exposure and health hazards in children. Monaldi Arch Chest Dis [Internet]. 2015 Nov 26 [cited 2021 Mar 31];79(1):38–43. Available from: http://www.monaldi-archives.org/index.php/macd/article/view/108
  • Moritsugu KP. The 2006 Report of the Surgeon General. The Health Consequences of Involuntary Exposure to Tobacco Smoke. Am J Prev Med. 2007;32(6):542–3.
  • Baheiraei A, Shirazi MG, Dehkordi ZR, Foroushani AR, Nedjat S. Prevalence of Home Smoking Bans and its Determinants in Families with Infants. Int J Pediatr. 2018;6(1):6987–97.
  • Drehmer JE, Ossip DJ, Rigotti NA, Nabi E, Woo H, Wasserman RC, et al. Pediatrician Interventions and Thirdhand Smoke Beliefs of Parents. Am J Prev Med. 2012;43(5):533–6.
  • Quintana PJE, Matt GE, Chatfield D, Zakarian JM, Fortmann AL, Hoh E. Wipe Sampling for Nicotine as a Marker of Thirdhand Tobacco Smoke Contamination on Surfaces in Homes, Cars, and Hotels. Nicotine Tob Res [Internet]. 2013 Sep 1 [cited 2022 Dec 12];15(9):1555–63. Available from: https://academic.oup.com/ntr/article/15/9/1555/1413792
  • Haardörfer R, Berg CJ, Escoffery C, Bundy ŁT, Hovell M, Kegler MC. Development of a scale assessing Beliefs about ThirdHand Smoke (BATHS). Tob Induc Dis. 2017 Jan 17;15(1).
  • Turhan E, Babaoğlu A, Tozduman B. Validity and reliability study of the Turkish version of beliefs about third hand smoke (BATHS) scale. Tob Induc Dis. 2018 Oct 3;16(3).
  • Xie Z, Chen M, Fu Z, He Y, Tian Y, Zhang X, et al. Thirdhand smoke beliefs and behaviors among families of primary school children in Shanghai. 2021; Available from: https://doi.org/10.18332/tid/132289
  • Darlow SD, Heckman CJ, Munshi T, Collins B. Thirdhand Smoke Beliefs and Behaviors among Healthcare Professionals.
  • Sorensen G, Allen JD, Adamkiewicz G, Yang M, Tamers SL, Stoddard AM. Intention to Quit Smoking and Concerns about Household Environmental Risks: Findings from the Health in Common Study in Low-Income Housing. Cancer Causes Control [Internet]. 2013 Apr [cited 2022 Jul 3];24(4):805. Available from: /pmc/articles/PMC3602321/
  • Costello MJ, Logel C, Fong GT, Zanna MP, McDonald PW. Perceived Risk and Quitting Behaviors: Results From the ITC 4-Country Survey. Am J Health Behav [Internet]. 2012 Sep [cited 2022 Jul 3];36(5):681. Available from: /pmc/articles/PMC4009356/
  • Pempeci S, Aknar B, Alkan A. Tıp Fakultesi Ogrencilerinin Sigara Icme Konusundaki Tutumlari. Gazi Med J. 2021;32(4A):619–24.
  • Tezcan S, Yardim N. Türkiye ’ de Çeşitli Sağlık Kurumlarında Doktor , Hemşire ve Tıp Fakültesi Öğrencilerinin Sigara İçme Boyutu. Tüberküloz ve Toraks Derg. 2003;51(4):390–7.
  • Roberts C, Wagler G, Carr MM. Environmental Tobacco Smoke: Public Perception of Risks of Exposing Children to Second- and Third-Hand Tobacco Smoke. J Pediatr Heal Care [Internet]. 2017;31(1):e7–13. Available from: http://dx.doi.org/10.1016/j.pedhc.2016.08.008
  • Díez-Izquierdo A, Cassanello P, Cartanyà A, Matilla-Santander N, Santamaria AB, Martinez-Sanchez JM. Knowledge and attitudes toward thirdhand smoke among parents with children under 3 years in Spain. Available from: https://doi.org/10.1038/s41390-018-0153-2
  • Winickoff JP, Friebely J, Tanski SE, Sherrod C, Matt GE, Hovell MF, et al. Beliefs About the Health Effects of “Thirdhand” Smoke and Home Smoking Bans. Pediatrics. 2009;123(1):74–9.
  • Drehmer JE, Ossip DJ, Nabi-Burza E, Rigotti NA, Hipple B, Woo H, et al. Thirdhand smoke beliefs of parents. Pediatrics. 2014;133(4).
There are 25 citations in total.

Details

Primary Language English
Subjects Public Health, Environmental Health
Journal Section Research Article
Authors

Emine Akbal 0000-0002-7475-293X

Egemen Ünal 0000-0002-9939-9191

Mehmet Enes Gökler 0000-0002-1524-8565

Salih Mollahaliloğlu 0000-0001-7384-4106

Early Pub Date September 15, 2023
Publication Date October 1, 2023
Submission Date March 2, 2023
Published in Issue Year 2023Volume: 14 Issue: 4 - Cumhuriyet'in 100. Yılına Armağan Sayısı

Cite

EndNote Akbal E, Ünal E, Gökler ME, Mollahaliloğlu S (October 1, 2023) Evaluation of Third Hand Cigarette Smoke Exposure and Awareness in University Students. Acıbadem Üniversitesi Sağlık Bilimleri Dergisi 14 4 610–620.